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NICHOLAS CHARLES WISNOSKI M.D.
NPI 1225357072
Psychiatry & Neurology - Psychiatry in New York, NY

Active since May 19, 2010Opted out of Medicare · through Oct 19, 2026
80 E 11TH STREET, STE#619, NEW YORK, NY 10003(917) 843-3406 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Charles Wisnoski M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS CHARLES WISNOSKI M.D. (NPI 1225357072) is an individual psychiatry provider in New York, New York, licensed in New York (278799) and active in the NPI registry since May 2010. He has opted out of Medicare through October 19, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225357072
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNICHOLAS CHARLES WISNOSKICredential: M.D.
Location Address80 E 11TH STREET, STE#619New York, NY 10003
Mailing Address8 Gramercy Park S Apt 4lNew York, NY 10003-1766 · (917) 843-3406
Phone(917) 843-3406
Sole ProprietorYes
Enumeration DateMay 19, 2010
Last NPPES UpdateMay 31, 2016
✔ NPI 1225357072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 278799
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Nicholas Charles Wisnoski M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 19, 2020 through October 19, 2026.

Opt-Out Effective DateOctober 19, 2020
Opt-Out In Effect ThroughOctober 19, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Wisnoski's NPI number?

The NPI number for Nicholas Wisnoski is 1225357072. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is Nicholas Wisnoski located?

Nicholas Wisnoski practices at 80 E 11th Street, Ste#619, New York, NY 10003. The listed phone number is (917) 843-3406.

What is Nicholas Wisnoski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicholas Wisnoski enrolled in Medicare?

No. Nicholas Wisnoski has opted out of Medicare through October 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicholas Wisnoski was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.